GI Flashcards

1
Q

what is diverticulosis

A

small, bulging pouches (diverticula) that develop in the digestive system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is diverticulitis

A

inflammation/infection of the diverticula often dx via xray or colonoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is a classical diverticulitis patient

A

fever, pain, bloating, and sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are gallstones

A

stones that develop inside of the gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how do gallstones present

A

pain in the UR/central abdomen as well as between shoulder blades

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is biliary colic

A

severe episodes of pain that develop from gallstones or blocked cystic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what type of pain is associated with biliary colic

A

spasmodic lasting hours at a time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is cholecystitis and what causes it (4)

A

gallbladder inflammation - can be caused by gallstones, excessive EtOH, infections, or tumors that cause bile to build up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what type of pain is associated with cholecystitis

A

episodes of inflammation lasting several hours to days with or without fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what defines a dysfunctional gall bladder

A

rigid and scarred from gall stones or repeated bouts of inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are symptoms of dysfunctional gall bladder

A

constant but vague abdominal fullness, indigestion, and increased gas with chronic diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are symptoms of acute pancreatitis

A

upper abdomen pain aggravated by eating, swollen tender abdomen, nausea vomiting, fever, increased HR, diarrhea, weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are two types of intestinal obstruction

A

mechanical block (adhesions, tumor, twisting, impaction, inflammation) and functional aka paralytic ileus (distension, peritonitis, surgery, narcotics, trauma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is bacteremia

A

presence of bacteria in the blood which may lead to sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the majority source (>65% of total cases) of sepsis in the older adult

A

respiratory and GU tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where is the majority source of sepsis in the younger population

A

GI, skin, bone, soft tissue

17
Q

what are symptoms of GI sepsis

A

nausea, vomiting, diarrhea, abdominal pain, fever, elevated HR

18
Q

what are the four common GI surgical procedures

A
  1. resection and anastomosis
  2. open laparotomy
  3. laparoscopy
  4. gastric bypass
19
Q

WHAT ARE ABDOMINAL PRECAUTIONS

A
  1. avoid motions that will strain the abdomen
  2. log roll bed mobility
  3. avoid lifting > 10 lbs
20
Q

what is a PT consideration for a colostomy bag

A

consider communication with nursing to empty bag prior to PT

21
Q

how can you minimize abdominal incision site strain during bed mobility

A

perform bed mobility with the knees bent

22
Q

what are the three general goals of GI/GU treatment

A
  1. optimize functional ability
  2. maximize activity tolerance
  3. minimize complicationss associated with immobililty
23
Q

what are appropriate interventions for GI/GU patients (5)

A
  1. cardio
  2. pain management
  3. education for splinting, deep breathing/coughing, and precautions
  4. strength training for impairments
  5. early mobilization